HomeMy WebLinkAboutRFP - 7562 THIRD PARTY CLAIMS ADMINISTRATOR SERVICESRFP 7562 Third Party Claims Administrator Services Page 1 of 30
REQUEST FOR PROPOSAL
7562 THIRD PARTY CLAIMS ADMINISTRATOR SERVICES
The City of Fort Collins is requesting proposals from qualified professionals for a Third
Party Claims Administrator to provide self-insured workers' compensation and liability
claims services.
Proposals submission via email is preferred. Proposals shall be submitted in
Microsoft Word or PDF format and e-mailed to: purchasing@fcgov.com. If electing
to submit hard copy proposals instead, five (5) copies, will be received at the City of Fort
Collins' Purchasing Division, 215 North Mason St., 2nd floor, Fort Collins, Colorado
80524. Proposals will be received before 3:00 p.m. (our clock), October 29, 2013 and
referenced as Proposal No. 7562. If delivered, they are to be sent to 215 North Mason
Street, 2nd Floor, Fort Collins, Colorado 80524. If mailed, the address is P.O. Box 580,
Fort Collins, 80522-0580.
The City encourages all disadvantaged business enterprises to submit proposals in
response to all requests for proposals and will not be discriminated against on the
grounds of race, color, national origin for all proposals for negotiated agreements.
Questions concerning the scope of the project should be directed to Project Manager,
Lance Murray at (970) 221-6807 or lmurray@fcgov.com.
Questions regarding bid submittal or process should be directed to Gerry S. Paul,
Director of Purchasing Risk Management at (970) 221-6779 or gspaul@fcgov.com.
All questions must be submitted in writing via email to Lance Murray, with a copy
to Gerry Paul, no later than 5:00 PM (MST) on October 18, 2013.
A copy of the Proposal may be obtained as follows:
1. Download the Proposal/Bid from the BuySpeed Webpage,
www.fcgov.com/eprocurement
The City of Fort Collins is subject to public information laws, which permit access to
most records and documents. Proprietary information in your response must be clearly
identified and will be protected to the extent legally permissible. Proposals may not be
marked ‘Proprietary’ in their entirety. Information considered proprietary is limited to
material treated as confidential in the normal conduct of business, trade secrets,
discount information, and individual product or service pricing. Summary price
information may not be designated as proprietary as such information may be carried
Financial Services
Purchasing Division
215 N. Mason St. 2nd Floor
PO Box 580
Fort Collins, CO 80522
970.221.6775
970.221.6707
fcgov.com/purchasing
RFP 7562 Third Party Claims Administrator Services Page 2 of 30
forward into other public documents. All provisions of any contract resulting from this
request for proposal will be public information.
Sales Prohibited/Conflict of Interest: No officer, employee, or member of City Council,
shall have a financial interest in the sale to the City of any real or personal property,
equipment, material, supplies or services where such officer or employee exercises
directly or indirectly any decision-making authority concerning such sale or any
supervisory authority over the services to be rendered. This rule also applies to
subcontracts with the City. Soliciting or accepting any gift, gratuity favor, entertainment,
kickback or any items of monetary value from any person who has or is seeking to do
business with the City of Fort Collins is prohibited.
Collusive or sham proposals: Any proposal deemed to be collusive or a sham proposal
will be rejected and reported to authorities as such. Your authorized signature of this
proposal assures that such proposal is genuine and is not a collusive or sham proposal.
The City of Fort Collins reserves the right to reject any and all proposals and to waive
any irregularities or informalities.
Sincerely,
Gerry S. Paul
Director of Purchasing & Risk Management
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TABLE OF CONTENTS
SECTION I - REQUEST FOR PROPOSAL 4
1. PURPOSE AND BACKGROUND 4
2. SPECIFICATIONS 4
3. ANCILLARY SERVICES 4
4. CONTINUANCE OF SERVICE CONTRACT FOR A FIVE YEAR PERIOD 5
5. SELECTION CRITERIA AND METHOD 5
SECTION II - PROPOSAL REQUIREMENTS 7
1. QUALIFICATIONS 7
2. CLAIMS IMPLEMENTATION, PROCESSING AND TERMINATION 8
3. DATA PROCESSING AND REPORTING SERVICES 9
4. AVAILABILITY 10
5. PRICING AND FEES 11
SECTION III - CLAIMS MANAGEMENT STANDARDS & PROCEDURES 13
I. CLAIMS ADMINISTRATION 13
2. CLAIMS INVESTIGATION AND MANAGEMENT 14
3. CLAIMS ANALYSIS AND REPORT 15
4. SPECIAL SERVICES 15
SECTION IV - CLAIMS PHILOSOPHY 16
SECTION V - SPECIAL PROVISIONS 17
SECTION VI - APPENDIX DATA 18
Exhibit I 19
SECTION VII – SAMPLE SERVICES AGREEMENT 20
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SECTION I - REQUEST FOR PROPOSAL
The City of Fort Collins invites your firm to submit a proposal for Third Party Claims
Administrator to provide self-insured workers' compensation, property and liability
claims services.
1. PURPOSE AND BACKGROUND
The City's purpose of this RFP is to select a qualified claims administrator to
handle workers' compensation, property and liability claims. Evaluations of
submittals to this RFP will be evaluated by City personnel with potential input
from an independent third-party consultant. When evaluations are complete, top
scoring vendors may be called upon to present their services to the team of
evaluators for further consideration. Upon completion of scoring and evaluation,
a Claims Administrator contract will be awarded. The Claims Administrator may
administer workers' compensation, property and liability, or depending on excess
markets, may administer a combination of coverage lines.
The City's property, liability and worker’s compensation claims have been
administered by Cannon Cochran Management Services, Inc. since 01-01-99.
Due to the need to maintain a close working relationship, and timely responses in
the event of an incident requiring immediate assistance, the Claim Administrator
may be required to have a servicing office in Fort Collins.
2. SPECIFICATIONS
Proposals are to be submitted in strict compliance with these specifications.
These specifications are to be considered as providing desirable claims
administration services. Any limitations or deviations from these specifications
must be designated in the proposal; otherwise, companies proposing will be
strictly held to the specifications. This Request for Proposals and your response
will become an integral part of a final contract should your firm be selected.
A failure to deliver services and fees quoted in your proposal may result in a mid-
term cancellation of the Service Contract and a replacement of the Third Party
Administration firm.
The information contained in the specifications is believed to be correct, but is
not warranted. The responsibility for determining the full extent of the exposure
and the verification of all information shall rest solely upon the Third Party
Administrator. The City of Fort Collins or its representatives, will not be
responsible for any errors or omissions, nor for the failure on the part of the Third
Party Administrator to determine the full extent of the exposures.
3. ANCILLARY SERVICES
All Proposals must fully describe the nature of any ancillary services which your
firm may offer. If independent firms are to be used, the name and address of the
firms are to be shown.
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4. CONTINUANCE OF SERVICE CONTRACT FOR A FIVE YEAR PERIOD
It is the intent of the City to continue the service contract for a minimum period of
five years without competitive quotations. However, the City reserves the right to
cancel or non-renew the contract at its discretion.
5. SELECTION CRITERIA AND METHOD
A Review Team will rank the proposals based on the City of Fort Collins'
procedures for the review of professional firms. The three highest ranked firms
may then be invited to discuss their proposals and qualifications with the review
team. Based on these interviews, a final ranking of the consultants will be made
and contract negotiations will be initiated with the highest ranked firm. On-site
tours may be requested.
THE FOLLOWING POINT SYSTEM WILL BE USED:
POINTS QUALIFICATION STANDARD
1 - 5
Adequacy of current Proposal
in light of the Proposal
requirements
Meeting and understanding
needs; administrative
procedures
1 - 15
Qualifications to perform
services
References, management and
staff assigned
1 - 15 Computer support and reports
Data base availability reports
initiated
1 - 5 Availability
Ability to be at an Incident
scene within one hour
1 - 10
Reasonable cost for proposed
service
Services provided
Total Points (50 points possible)
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Reference Evaluation (Top Ranked Firm)
The project manager will check references using the following criteria. The
evaluation rankings will be labeled Satisfactory/Unsatisfactory.
QUALIFICATION STANDARD
Overall Performance
Would you hire this Professional again? Did they
demonstrate the skills & knowledge required by this
project?
Timetable
Was the original Scope of Work completed within the
specified time? Were interim deadlines met in a
timely manner?
Completeness
Was the Professional responsive to client needs? Did
the Professional anticipate problems? Were problems
solved quickly and effectively?
Budget
Was the original Scope of Work completed within the
project budget?
Job Knowledge
a) If a study, did it meet the Scope of Work?
b) If Professional administered a construction
contract, was the project functional upon
completion and did it operate properly? Were
problems corrected quickly and effectively?
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SECTION II - PROPOSAL REQUIREMENTS
Please address the following questions, in the order they are asked, in your proposal.
1. QUALIFICATIONS
A. Give a brief description of your firm including:
1. Names of principal owners, partners or officers.
2. Length of time the firm has been in business.
3. Number of offices and locations.
4. Offices that would service this account.
5. The availability of a toll-free number and/or e-mail address for the use
of claimants, and the City.
B. Indicate the proposed number of personnel (including supervisory and
management) who would be assigned to administer the City's program and
give details regarding:
1. Position of each
2. Experience and education
3. Experience with public entities
4. Length of time with your firm
5. Computer skills
C. Would technical personnel be assigned to the City? If so, how many?
D. Would an Account Executive be assigned as the primary contact on items not
directly related to specific claims?
E. Describe training programs offered to claim personnel and incentives for
employees to further their training and education.
F. In the past two years, what percentage of employee turnover has your firm
experienced for the office that will be handling the City’s claims?
G. What is the anticipated case load of open files that would be managed by
examiners assigned to this account?
H. Provide names, addresses, telephone numbers and length of service with at
least three Colorado references for which you have provided worker's
compensation, property and liability claims services (preferably public
agencies).
I. Describe any additional special programs or areas of emphasis that you think
would be beneficial in helping us to understand your level of expertise.
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2. CLAIMS IMPLEMENTATION, PROCESSING AND TERMINATION
A. Provide procedure and timetable for initial set-up and implementation of City's
account into your system.
B. Provide the set-up, process and timetable for a new claim to be placed in the
system.
C. Advise how frequently your diary system allows claims supervisory personnel
to review open claims.
D. Describe your procedures for making initial and follow-up contact with injured
employees or claimants.
E. Describe your company philosophy and procedures for the establishment of
case reserves. What are the procedures for revising reserves?
F. Describe cost containment procedures utilized by your firm.
G. Describe how medical bill review services take place within your firm or
contractor and provide a cost benefit analysis of its potential effect on the
City.
H. Under the current arrangement, the City provides an account and checks for
the processing of claim payments by the claim administrator. Indicate if this
system would work for your firm.
I. Advise in what instances an independent adjustor would be required and
which independent claims service you would use.
J. Attach copies of all standard forms used in your administration process.
K. Submit samples of any cards, letters, pamphlets, etc. that would be provided
to injured employees and claimants.
L. Do you have a formal program for managing lawsuits and litigation expense?
If so, please describe.
M. Provide the City with various options regarding the handling of open claims in
the event of termination or regular expiration of the claims administrator
contract.
N. Include any other information that you feel would contribute a positive and
successful program if your firm were selected. Describe in detail the claims
administrator's various investigative techniques and general claim handling
philosophies, addressing the following:
1. Method of explaining claimant's right.
2. Circumstances when in-person investigations would be used rather
than by telephone.
3. Philosophy and method of contesting and denying claims payments.
O. Provide a description of the quality controls currently in place. The
description should include the approach to and frequency of internal claims
audits of claims offices.
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3. DATA PROCESSING AND REPORTING SERVICES
A. To demonstrate your data processing and report system, provide an online
demonstration of twenty five worker’s compensation claims. Five claims shall
be re-opened from the year 2011, ten claims shall be medical only, and ten
shall be indemnity claims. Be as detailed as possible, showing all charges,
fee schedule, PPO & prescription discounts, and the bottom line cost to the
city for each claim. All claims shall contain, but not be limited to, the following
information.
1. Workers' Compensation
a. Claim Number
b. Department Name
c. Employee Name
d. Injury Date, Day of Week and Time of Day
e. Brief Description of Injury/Accident
f. Nature of Injury
g. Body Part
h. Nature of Incident
i. Object Causing Injury
j. Medical, Indemnity and Expense Paid to Date
k. Subrogation
l. Rehabilitation
m. Reserved
n. Litigation
o. Status
2. Liability
a. Line of Coverage
b. Department Name
c. Claim Number
d. Incident Date, Day of Week and Time of Day
e. Claimant's Name
f. Brief Verbal Description of Incident
g. Nature of Incident
h. Object causing Incident
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I. Payment and Expense Paid to Date
j. Reserve
k. Indication if in Suite
l. Status (Open/Closed)
B. Indicate whether the following reports could be provided online:
1. Incident analysis report giving a breakdown by cause, body part, injury,
day, time, etc.
2. Vendor report to identify service providers and attorney involvement.
3. Cumulative check register giving a summary of all medical, indemnity
and other payments to date.
4. Reports showing IBNR factors and trending, claims pay-out profiles
and claims development analysis.
5. Sorting capabilities of program.
6. OSHA 300 Log
7. Recordable Accident Frequency Rate (RAF)
8. Days Away, Restricted or Transferred (DART)
C. Can your organization customize reports for our needs? Is there an extra
charge for this service?
D. Can reports be exported to an MS Excel, Access or PDF format?
E. Can your organization interface with the J. D. Edwards One World Workforce
Management System?
F. Does your organization have the capability to captures all correspondence,
medical records, letters, etc., electronically and store them in the claimants
file?
G. Is it possible for authorized City personnel to access your data base? If so,
please describe your system, the necessary mechanics, and what information
would be available to access.
H. Advise how frequently your system is updated.
I. Please submit samples of each standard report generated by your system
and explain any additional ad hoc reporting capability you could put at our
disposal.
J. Describe how your firm ensures the confidentiality of client data.
4. AVAILABILITY
A. Approximately how far is the servicing office from downtown Fort Collins? Is
an operational office in Fort Collins at contract inception an option for one, or
all lines of claims?
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B. Can your firm respond immediately to investigate an incident that has just
occurred? Indicate how long it would take a claim representative to physically
be on-site of an incident after telephone notification.
C. Are your claim representatives "on call" 24 hours per day? Are pagers, cell
phones or similar devices provided to the representatives?
D. How many representatives could reasonably be expected to handle claims for
the City?
E. What is the claims ratio between an adjuster and the number of claims
handled?
5. PRICING AND FEES
If different pricing and fees are used for workers' compensation and liability,
please quote separately.
A. Quote you’re per claim fee in one or more of these ways:
1. Cost per claim (regardless of type).
2. Cost per claim by type.
3. Minimum cost/maximum costs.
4. Lifetime handling of claims.
If a flat fee is submitted, please include the total number of claims included in
the fee and the annual maximum cost. Other pricing methods will also be
considered.
Indicate if a different fee could be charged to track "record only" claims.
The City currently pays a guaranteed one-time fee for a specified number of
claims per year for lifetime management of those claims. The third party
administrator handles these claims until all are closed. An additional fee per
claim is paid if the number of claims handled by the T.P.A. exceeds the
number of claim specified in the contract. Simple claims that require no
investigation (a check or denial letter is issued) are handled at a
predetermined cost per claim.
B. Specify whether or not your fee includes your firm performing all of the
necessary state filing.
C. Indicate whether the per claim cost includes recovery of subrogation losses.
D. Indicate the types of allocated claims expenses which are not included in your
per case claims costs.
E. State what services or type of claims that are not included in your standard
fees.
F. WorkWell and University of Colorado Health are the designated health care
provides. Are they part of your organizations PPO network and if so what
discount do you receive? What other Northern Colorado health care
providers are part of your PPO network?
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G. Explain your prescription drug program and bill review processes.
H. Since the term of the contract will be five years, renewable annually, give an
indication of expected rate changes, basis for changes, and how your firm
intends to control cost.
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SECTION III - CLAIMS MANAGEMENT STANDARDS & PROCEDURES
Following are standards and services the City wishes to maintain. Review these points
and indicate any area that could be a problem in your firm.
I. CLAIMS ADMINISTRATION
A. Create files and reserve within two (2) working days from receipt of the initial
report.
B. Establish diaries so each claim is reviewed at least every thirty (30) days or
more frequently where needed. Document confirmation of review.
C. Working with City of Fort Collins Risk Management staff, regularly examine
and analyze all claims to determine compensability/validity of workers’
compensation and liability claims.
D. Pay bills promptly per City instructions.
E. Audit medical bills and repair bills for causal relationship and reasonableness
of charges.
F. Report all indemnity claims to the Index Bureau upon file creation, and retain
a copy with the file.
G. Review medical-only claims for possible closure no less frequently than every
thirty (30) days.
H. Provide copies of all written correspondence from the administrator to
doctors, claimants, attorneys, rehabilitation counselors, investigators and
state agencies.
I. Clearly document all file activity, including telephone conversations or
personal meetings, and diary reviews to reflect the date, individuals involved,
content of discussion and plan of action electronically and provide authorized
City employee access.
J. Establish specific direction on the investigation and handling of all indemnity
cases within three (3) working days from receipt of the initial report, and
clearly evidenced in the file.
K. Notify appropriate excess insurer(s) of all claims or losses meeting the
reporting requirements of the insurer and provide such insurer with all
required information and updates. Send update reports to excess carriers no
less frequently than semi-annually or as directed by the City.
L. Provide a written analysis or report of all proposed settlements by stipulation
or compromise for consideration and authorization, in losses valued in excess
of $50,000.
M. Establish claim reserves and provide a continual review and update of
reserves to reflect changes. It is expected that reserves will be reviewed at
least quarterly with staff.
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N. Maintain a file for each claim submitted with the file available for review by the
City at any reasonable time.
O. Consult and cooperate with employees as may be necessary to achieve a
successful claims management program. This includes regular
communications between City staff and the Third Party Administrator to
discuss claim progress settlements and denials.
P. Consult quarterly with City Risk Management and Legal staff to review open
claims and reserve settings.
2. CLAIMS INVESTIGATION AND MANAGEMENT
A. Conduct the necessary investigation of each claim using competent and
qualified personnel, including such investigation as is necessary to determine
liability. The City reserves the right to require additional investigation. With
the approval of the City, engage the services of persons of firms outside its
organization for special work in connection with investigations.
B. Contact or attempt to contact all employees and claimants within three (3)
days of receipt of claim. Upon initial contact, document the description of
injury/accident. Document attempts to contact employee or claimant.
C. Contact the department and designated employee for City's statement before
determining liability.
D. Contact the City within three (3) days to confirm whether
compensability/liability is acknowledged or should have been questioned.
E. Monitor treatment program for injured employees to assure that treatment is
related to the compensable injury or illness.
F. Consult with City Risk Management staff prior to authorizing medical
procedures.
G. Maintain a close liaison with treating physicians to assure that employees
receive proper care and to avoid over treatment situations.
H. Determine eligibility for and authorize payment of Temporary Disability
compensation in accordance with medical advice, rehabilitation efforts and
State law.
I. With City approval, maintain telephone or personal contact with temporarily
disabled employees no less frequently than monthly, to maintain rapport and
to monitor medical progress and return to work status.
J. Schedule independent medical examinations with qualified physicians in
cases where treatment, length of disability or extent of permanent disability
assigned is in question.
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K. Investigate whether subrogation can be ruled out or pursued in all cases
which may involve third party negligence.
L. Refer litigated cases to attorneys utilizing an agreed listing of legal firms.
Assist in the preparation of litigated cases and participate as needed in
hearings and settlement actions.
M. Attend monthly meetings with City designated physician.
3. CLAIMS ANALYSIS AND REPORT
A. Provide the City with continuing information on the progress of individual
claims and the effectiveness of cost control programs relating to all claims. A
closing report is required for every claim indicating the amount paid to settle
the claim.
B. Submit statistical summaries and narrative reports as requested to assist in
the evaluation of the City programs.
C. Assist the City in the analysis of claims in an effort to prevent future
occurrences of a similar nature.
D. Maintain a claim file for each reported claim which shall be available to the
City at all times for inspection. Such file shall contain all data pertinent to the
claim to support its disposition and shall remain the exclusive property of the
City.
E. Assist the City in preparation of required self-insurance reports, reports
required by the city’s insurance carriers, and information for the NCCI to
calculate the workers’ compensation modifier.
4. SPECIAL SERVICES
A. Provide information and guidance to City employees regarding workers'
compensation benefits and respond to inquiries regarding specific injuries and
permanent disability ratings.
B. When appropriate, develop rehabilitation programs for injured employees for
approval by the City, the employee and appropriate agencies ensuring that
rehabilitation, retraining or reassignment is provided to employees with
physical or performance limitations resulting from industrial injuries.
C. Review existing City claims management programs and procedures and
recommend changes as needed.
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SECTION IV - CLAIMS PHILOSOPHY
The City of Fort Collins' claims management philosophy is as follows:
1. Claimants are given a high standard of care and concern.
2. Employees are clearly advised of their benefits under Workers' Compensation in
a timely fashion.
3. To give prompt attention to all claims matters and to discourage unnecessary
litigation.
4. To encourage early recovery from injury and early return to productive work.
5. To encourage employees' return to work for modified duty.
6. To identify fraudulent claims and aggressively defend those claims.
7. To identify cause of loss and correct, if necessary, to prevent future loss.
8. To keep communication open between the TPA, Risk Management staff,
employees, claimants, and medical providers.
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SECTION V - SPECIAL PROVISIONS
1. CLAIM ASSIGNMENT
The City of Fort Collins does not send all claims to a third party claims
administrator. The City Attorney’s Office and the Risk Management division
reserve the right to determine which claims will be handled in-house and those
that will be assigned to the third party administrator.
2. CANCELLATION BY ADMINISTRATOR
Because of the time required to replace this contract on a favorable basis, each
firm must include in their proposal a written agreement not to change the rates
and terms of the contract, nor cancel the contract during the first annual term.
Each firm must also agree not to change the rates and terms of the contract at
renewal or refuse to renew the contract without ninety (90) days advance written
notice.
3. CLAIMS RUN-OFF PROVISIONS
Ensure that your company's claims run-off requirements, including fees for
present as well as future claims, are included with a proposed contract provision.
4. TITLE RIGHTS
Ensure that the City shall have full, complete and absolute title to all studies,
files, documents, correspondence, tapes, movies, recordings, reports, analyses
and other materials prepared or acquired regardless of the state of completion.
Further ensure that the City may make full and complete use of said materials as
it desires, and within its own discretion without liability of any kind whatsoever to
the Administrator other than payment of consideration as provided.
5. INSURANCE
Required insurance limits are listed in Exhibit B, Section VII, Sample Service
Services Agreement.
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SECTION VI - APPENDIX DATA
EXHIBIT I Five Year Claim History
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EXHIBIT I
Five Year Claim History
1. Workers’ Compensation
Year # Claims # Med Only # Indemnity # Open Incurred Cost
2008 179 145 34 1 $649,415
2009 153 121 32 1 $799,684
2010 159 131 28 0 $629,225
2011 179 131 49 3 $1,171,140
2012 158 130 28 5 $490,290
2. Auto Liability
Year # Claims # Open Incurred Cost
2008 45 0 $ 93,259
2009 51 0 $ 54,539
2010 48 0 $161,961
2011 43 1 $186,042
2012 31 0 $ 28,055
3. General Liability
Year # Claims # Open Incurred Cost
2008 102 0 $191,637
2009 102 0 $174,120
2010 105 0 $702,424
2011 102 2 $232,511
2012 87 3 $140,171
Of the auto liability and general liability claims listed, the City of Fort Collins handles
approximately 100 of these claims in-house per year. The TPA has to either issue a
check for payment or a denial letter on these files.
All claims data is as of 9/24/13.
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SECTION VII – SAMPLE SERVICES AGREEMENT
SERVICES AGREEMENT
THIS AGREEMENT made and entered into the day and year set forth below by and
between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "City" and , hereinafter referred to as "Service Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed
by and between the parties hereto as follows:
1. Scope of Services. The Service Provider agrees to provide services in accordance with
the scope of services attached hereto as Exhibit "A", consisting of ( )
page and incorporated herein by this reference. Irrespective of references in Exhibit
A to certain named third parties, Professional shall be solely responsible for performance
of all duties hereunder.
2. The Work Schedule. [Optional] The services to be performed pursuant to this Agreement
shall be performed in accordance with the Work Schedule attached hereto as Exhibit "B",
consisting of ( ) page , and incorporated herein by this reference.
3. Time of Commencement and Completion of Services. The services to be performed
pursuant to this Agreement shall be initiated within ( ) days following
execution of this Agreement. Services shall be completed no later than . Time is of
the essence. Any extensions of the time limit set forth above must be agreed upon in a
writing signed by the parties.
4. Contract Period. [Option 1] This Agreement shall commence upon the date of execution
shown on the signature page of this Agreement and shall continue in full force and effect
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for one (1) year, unless sooner terminated as herein provided. In addition, at the option of
the City, the Agreement may be extended for an additional period of one (1) year at the
rates provided with written notice to the Professional mailed no later than ninety (90) days
prior to contract end.
5. Contract Period. [Option 2] This Agreement shall commence , 200 , and shall
continue in full force and effect until , 200 , unless sooner terminated as herein
provided. In addition, at the option of the City, the Agreement may be extended for
additional one year periods not to exceed ( ) additional one year periods.
Renewals and pricing changes shall be negotiated by and agreed to by both parties. The
Denver Boulder Greeley CPIU published by the Colorado State Planning and Budget
Office will be used as a guide. Written notice of renewal shall be provided to the Service
Provider and mailed no later than ninety (90) days prior to contract end.
6. Delay. If either party is prevented in whole or in part from performing its obligations by
unforeseeable causes beyond its reasonable control and without its fault or negligence,
then the party so prevented shall be excused from whatever performance is prevented by
such cause. To the extent that the performance is actually prevented, the Service
Provider must provide written notice to the City of such condition within fifteen (15) days
from the onset of such condition.
7. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the
City may terminate this Agreement at any time without cause by providing written notice of
termination to the Service Provider. Such notice shall be delivered at least fifteen (15)
days prior to the termination date contained in said notice unless otherwise agreed in
writing by the parties. All notices provided under this Agreement shall be effective when
mailed, postage prepaid and sent to the following addresses:
Service Provider: City: Copy to:
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Attn:
City of Fort Collins
Attn:
PO Box 580
Fort Collins, CO 80522
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
In the event of early termination by the City, the Service Provider shall be paid for services
rendered to the date of termination, subject only to the satisfactory performance of the
Service Provider's obligations under this Agreement. Such payment shall be the Service
Provider's sole right and remedy for such termination.
8. Contract Sum. The City shall pay the Service Provider for the performance of this
Contract, subject to additions and deletions provided herein, ($ ) as per the
attached Exhibit " ", consisting of page , and incorporated herein by this
reference.
9. City Representative. The City will designate, prior to commencement of the work, its
representative who shall make, within the scope of his or her authority, all necessary and
proper decisions with reference to the services provided under this agreement. All
requests concerning this agreement shall be directed to the City Representative.
10. Independent Service provider. The services to be performed by Service Provider are
those of an independent service provider and not of an employee of the City of Fort
Collins. The City shall not be responsible for withholding any portion of Service Provider's
compensation hereunder for the payment of FICA, Workmen's Compensation or other
taxes or benefits or for any other purpose.
11. Subcontractors. Service Provider may not subcontract any of the Work set forth in the
Exhibit A, Statement of Work without the prior written consent of the city, which shall not
be unreasonably withheld. If any of the Work is subcontracted hereunder (with the
consent of the City), then the following provisions shall apply: (a) the subcontractor must
be a reputable, qualified firm with an established record of successful performance in its
RFP 7562 Third Party Claims Administrator Services Page 23 of 30
respective trade performing identical or substantially similar work, (b) the subcontractor will
be required to comply with all applicable terms of this Agreement, (c) the subcontract will
not create any contractual relationship between any such subcontractor and the City, nor
will it obligate the City to pay or see to the payment of any subcontractor, and (d) the work
of the subcontractor will be subject to inspection by the City to the same extent as the
work of the Service Provider.
12. Personal Services. It is understood that the City enters into the Agreement based on the
special abilities of the Service Provider and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Service Provider shall neither assign
any responsibilities nor delegate any duties arising under the Agreement without the prior
written consent of the City.
13. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the
services shall not be construed to operate as a waiver of any rights or benefits provided to
the City under this Agreement or cause of action arising out of performance of this
Agreement.
14. Warranty.
a. Service Provider warrants that all work performed hereunder shall be performed with
the highest degree of competence and care in accordance with accepted standards for
work of a similar nature.
b. Unless otherwise provided in the Agreement, all materials and equipment incorporated
into any work shall be new and, where not specified, of the most suitable grade of their
respective kinds for their intended use, and all workmanship shall be acceptable to
City.
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c. Service Provider warrants all equipment, materials, labor and other work, provided
under this Agreement, except City-furnished materials, equipment and labor, against
defects and nonconformances in design, materials and workmanship/workwomanship
for a period beginning with the start of the work and ending twelve (12) months from
and after final acceptance under the Agreement, regardless whether the same were
furnished or performed by Service Provider or by any of its subcontractors of any tier.
Upon receipt of written notice from City of any such defect or nonconformances, the
affected item or part thereof shall be redesigned, repaired or replaced by Service
Provider in a manner and at a time acceptable to City.
15. Default. Each and every term and condition hereof shall be deemed to be a material
element of this Agreement. In the event either party should fail or refuse to perform
according to the terms of this agreement, such party may be declared in default thereof.
16. Remedies. In the event a party has been declared in default, such defaulting party shall
be allowed a period of ten (10) days within which to cure said default. In the event the
default remains uncorrected, the party declaring default may elect to (a) terminate the
Agreement and seek damages; (b) treat the Agreement as continuing and require specific
performance; or (c) avail himself of any other remedy at law or equity. If the non-defaulting
party commences legal or equitable actions against the defaulting party, the defaulting
party shall be liable to the non-defaulting party for the non-defaulting party's reasonable
attorney fees and costs incurred because of the default.
17. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
18. Indemnity/Insurance.
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a. The Service Provider agrees to indemnify and save harmless the City, its officers,
agents and employees against and from any and all actions, suits, claims, demands or
liability of any character whatsoever brought or asserted for injuries to or death of any
person or persons, or damages to property arising out of, result from or occurring in
connection with the performance of any service hereunder.
b. The Service Provider shall take all necessary precautions in performing the work
hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the Service
Provider shall provide and maintain insurance coverage naming the City as an
additional insured under this Agreement of the type and with the limits specified within
Exhibit , consisting of one (1) page, attached hereto and incorporated herein by
this reference. The Service Provider before commencing services hereunder, shall
deliver to the City's Director of Purchasing and Risk Management, P. O. Box 580 Fort
Collins, Colorado 80522 one copy of a certificate evidencing the insurance coverage
required from an insurance company acceptable to the City.
19. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
20. Law/Severability. The laws of the State of Colorado shall govern the construction
interpretation, execution and enforcement of this Agreement. In the event any provision of
this Agreement shall be held invalid or unenforceable by any court of competent
jurisdiction, such holding shall not invalidate or render unenforceable any other provision
of this Agreement.
21. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et.
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seq., Service Provider represents and agrees that:
a. As of the date of this Agreement:
1. Service Provider does not knowingly employ or contract with an illegal alien who
will perform work under this Agreement; and
2. Service Provider will participate in either the e-Verify program created in Public
Law 208, 104th Congress, as amended, and expanded in Public Law 156, 108th
Congress, as amended, administered by the United States Department of
Homeland Security (the “e-Verify Program”) or the Department Program (the
“Department Program”), an employment verification program established pursuant
to Section 8-17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of
all newly hired employees to perform work under this Agreement.
b. Service Provider shall not knowingly employ or contract with an illegal alien to perform
work under this Agreement or knowingly enter into a contract with a subcontractor that
knowingly employs or contracts with an illegal alien to perform work under this
Agreement.
c. Service Provider is prohibited from using the e-Verify Program or Department Program
procedures to undertake pre-employment screening of job applicants while this
Agreement is being performed.
d. If Service Provider obtains actual knowledge that a subcontractor performing work
under this Agreement knowingly employs or contracts with an illegal alien, Service
Provider shall:
1. Notify such subcontractor and the City within three days that Service Provider has
actual knowledge that the subcontractor is employing or contracting with an illegal
alien; and
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2. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to this section the subcontractor does not cease
employing or contracting with the illegal alien; except that Service Provider shall
not terminate the contract with the subcontractor if during such three days the
subcontractor provides information to establish that the subcontractor has not
knowingly employed or contracted with an illegal alien.
e. Service Provider shall comply with any reasonable request by the Colorado
Department of Labor and Employment (the “Department”) made in the course of an
investigation that the Department undertakes or is undertaking pursuant to the
authority established in Subsection 8-17.5-102 (5), C.R.S.
f. If Service Provider violates any provision of this Agreement pertaining to the duties
imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If
this Agreement is so terminated, Service Provider shall be liable for actual and
consequential damages to the City arising out of Service Provider’s violation of
Subsection 8-17.5-102, C.R.S.
g. The City will notify the Office of the Secretary of State if Service Provider violates this
provision of this Agreement and the City terminates the Agreement for such breach.
22. Special Provisions. Special provisions or conditions relating to the services to be
performed pursuant to this Agreement are set forth in Exhibit " " - Confidentiality,
consisting of ( ) pages, attached hereto and incorporated herein by this
reference.
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CITY OF FORT COLLINS, COLORADO
a municipal corporation
By:_______________________________
Gerry Paul
Director of Purchasing and Risk Management
Date:_____________________________
ATTEST:
_________________________________
City Clerk
APPROVED AS TO FORM:
________________________________
Assistant City Attorney
By:_______________________________
__________________________________
PRINT NAME
__________________________________
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:_____________________________
ATTEST:
(
Corporate Seal)
_____________________________
CORPORATE SECRETARY
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EXHIBIT
INSURANCE REQUIREMENTS
1. The Service Provider will provide, from insurance companies acceptable to the City, the
insurance coverage designated hereinafter and pay all costs. Before commencing work
under this bid, the Service Provider shall furnish the City with certificates of insurance
showing the type, amount, class of operations covered, effective dates and date of
expiration of policies, and containing substantially the following statement:
"
The insurance evidenced by this Certificate will not be cancelled or materially altered,
except after ten (10) days written notice has been received by the City of Fort Collins."
In case of the breach of any provision of the Insurance Requirements, the City, at its
option, may take out and maintain, at the expense of the Service Provider, such
insurance as the City may deem proper and may deduct the cost of such insurance from
any monies which may be due or become due the Service Provider under this
Agreement. The City, its officers, agents and employees shall be named as additional
insured’s on the Service Provider's general liability and automobile liability insurance
policies for any claims arising out of work performed under this Agreement.
2. Insurance coverages shall be as follows:
A. Workers' Compensation & Employer's Liability. The Service Provider shall
maintain during the life of this Agreement for all of the Service Provider's
employees engaged in work performed under this agreement:
1. Workers' Compensation insurance with statutory limits as required by
Colorado law.
2. Employer's Liability insurance with limits of $500,000 per accident,
$1,000,000 disease aggregate, and $500,000 disease each employee.
B. Commercial General & Vehicle Liability. The Service Provider shall maintain
during the life of this Agreement such commercial general liability and automobile
liability insurance as will provide coverage for damage claims of personal injury,
including accidental death, as well as for claims for property damage, which may
arise directly or indirectly from the performance of work under this Agreement.
Coverage for property damage shall be on a "broad form" basis. The amount of
insurance for each coverage, Commercial General and Vehicle, shall not be less
than $1,000,000 combined single limits for bodily injury and property damage.
In the event any work is performed by a subcontractor, the Service Provider shall
be responsible for any liability directly or indirectly arising out of the work
performed under this Agreement by a subcontractor, which liability is not covered
by the subcontractor's insurance.
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EXHIBIT
CONFIDENTIALITY
IN CONNECTION WITH SERVICES provided to the City of Fort Collins (the “City”) pursuant to
this Agreement (the “Agreement”), the Service Provider hereby acknowledges that it has been
informed that the City has established policies and procedures with regard to the handling of
confidential information and other sensitive materials.
In consideration of access to certain information, data and material (hereinafter individually and
collectively, regardless of nature, referred to as “information”) that are the property of and/or
relate to the City or its employees, customers or suppliers, which access is related to the
performance of services that the Service Provider has agreed to perform, the Service Provider
hereby acknowledges and agrees as follows:
That information that has or will come into its possession or knowledge in connection with the
performance of services for the City may be confidential and/or proprietary. The Service
Provider agrees to treat as confidential (a) all information that is owned by the City, or that
relates to the business of the City, or that is used by the City in carrying on business, and (b) all
information that is proprietary to a third party (including but not limited to customers and
suppliers of the City). The Service Provider shall not disclose any such information to any
person not having a legitimate need-to-know for purposes authorized by the City. Further, the
Service Provider shall not use such information to obtain any economic or other benefit for itself,
or any third party, except as specifically authorized by the City.
The foregoing to the contrary notwithstanding, the Service Provider understands that it shall
have no obligation under this Agreement with respect to information and material that (a)
becomes generally known to the public by publication or some means other than a breach of
duty of this Agreement, or (b) is required by law, regulation or court order to be disclosed,
provided that the request for such disclosure is proper and the disclosure does not exceed that
which is required. In the event of any disclosure under (b) above, the Service Provider shall
furnish a copy of this Agreement to anyone to whom it is required to make such disclosure and
shall promptly advise the City in writing of each such disclosure.
In the event that the Service Provider ceases to perform services for the City, or the City so
requests for any reason, the Service Provider shall promptly return to the City any and all
information described hereinabove, including all copies, notes and/or summaries (handwritten or
mechanically produced) thereof, in its possession or control or as to which it otherwise has
access.
The Service Provider understands and agrees that the City’s remedies at law for a breach of the
Service Provider’s obligations under this Confidentiality Agreement may be inadequate and that
the City shall, in the event of any such breach, be entitled to seek equitable relief (including
without limitation preliminary and permanent injunctive relief and specific performance) in
addition to all other remedies provided hereunder or available at law.